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Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet

psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical

December 21, 2017 - Study Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. Citation Text: Wright A, Feblowitz J, Phansalkar S, et al. Preventability of adverse drug events involving multiple drugs using publicly available clinical dec…

Rethinking diagnostic delay in cancer: how difficult is the diagnosis? | PSNet

psnet.ahrq.gov/issue/rethinking-diagnostic-delay-cancer-how-difficult-diagnosis

August 19, 2020 - Commentary Rethinking diagnostic delay in cancer: how difficult is the diagnosis? Citation Text: Lyratzopoulos G, Wardle J, Rubin G. Rethinking diagnostic delay in cancer: how difficult is the diagnosis? BMJ. 2014;349:g7400. doi:10.1136/bmj.g7400. Copy Citation Format: DOI …

Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet

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September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet

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June 26, 2019 - Study STAMP: a 5-year project to reduce paediatric prescribing errors. Citation Text: Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. Copy Citation …

Emergency department crowding and risk of preventable medical errors. | PSNet

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November 23, 2011 - Study Emergency department crowding and risk of preventable medical errors. Citation Text: Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8. Copy Citation …

Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

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October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

Advancing the next generation of handover research and practice with cognitive load theory. | PSNet

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November 10, 2021 - Commentary Advancing the next generation of handover research and practice with cognitive load theory. Citation Text: Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. | PSNet

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September 03, 2011 - Study Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Citation Text: Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408. …

Hospitalized patients' participation and its impact on quality of care and patient safety. | PSNet

psnet.ahrq.gov/issue/hospitalized-patients-participation-and-its-impact-quality-care-and-patient-safety

March 23, 2012 - Study Hospitalized patients' participation and its impact on quality of care and patient safety. Citation Text: Weingart SN, Zhu J, Chiappetta L, et al. Hospitalized patients' participation and its impact on quality of care and patient safety. Int J Qual Health Care. 2011;23(3):269-77. d…

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. | PSNet

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May 21, 2019 - Study A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. Citation Text: Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…

Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological

October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. | PSNet

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April 24, 2013 - Study Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Citation Text: Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/10628606145…

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet

psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic

January 27, 2016 - Study Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Citation Text: Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…

Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients

March 25, 2017 - Commentary Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. Citation Text: Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end trans…

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. | PSNet

psnet.ahrq.gov/issue/prevention-retained-surgical-sponges-decision-analytic-model-predicting-relative-cost

January 04, 2010 - Study Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Citation Text: Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…

Patient safety climate among orthopaedic surgery residents. | PSNet

psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents

December 21, 2014 - Study Patient safety climate among orthopaedic surgery residents. Citation Text: Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. Copy Citation Format: …

Analysis of errors enacted by surgical trainees during skills training courses. | PSNet

psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses

August 20, 2018 - Study Analysis of errors enacted by surgical trainees during skills training courses. Citation Text: Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20. Copy Citation Format: Google Sch…

Medication complexity, medication number, and their relationships to medication discrepancies. | PSNet

psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies

November 16, 2022 - Study Medication complexity, medication number, and their relationships to medication discrepancies. Citation Text: Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm

March 01, 2011 - Study Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. Citation Text: Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…

Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. | PSNet

psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital

July 22, 2020 - Commentary Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. Citation Text: Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. …

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